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NPI Code Detail

MEDICARE: DANIEL W MCGRANE MD PA

MEDICARE: DANIEL W MCGRANE MD PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1173000000XLegal MedicineME29268FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558409995
Entity Type Code : Organization
Provider Name (Legal Business Name) : DANIEL W MCGRANE MD PA
Provider Business Mailing Address
First Line : 6725 CEDAR RIDGE DR
Second Line : SUITE 4
City : ZEPHYRHILLS
State : FL
Zip : 33542-7515
Country : US
Telephone Number : 813-788-7662
Fax Number :
Provider Business Practice Location Address
First Line : 6725 CEDAR RIDGE DR
Second Line : SUITE 4
City : ZEPHYRHILLS
State : FL
Zip : 33542-7515
Country : US
Telephone Number : 813-788-7662
Fax Number : 813-788-7464
Authorized Official
Title or Position : OWNER
Name : DANIEL W MCGRANE
Credential : MD
Telephone Number : 813-788-7662
Provider Enumeration Date : 02/01/2007
Last Update Date : 07/23/2008

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Directions to “DANIEL W MCGRANE MD PA ” Practice Location

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